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NPI Code Detail

MEDICARE: DR. PERICLES XYNOS M.D.

MEDICARE:  DR. PERICLES  XYNOS  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology Physician2005020354MO

General Provider Information

NPI Number : 1558562355
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PERICLES XYNOS M.D.
Provider Business Mailing Address
First Line : 6420 CLAYTON RD
Second Line : SUITE 290
City : SAINT LOUIS
State : MO
Zip : 63117-1811
Country : US
Telephone Number : 314-781-8605
Fax Number : 314-646-8627
Provider Business Practice Location Address
First Line : 1031 BELLEVUE AVE STE 400
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63117-1858
Country : US
Telephone Number : 314-977-7455
Fax Number : 314-977-7477
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2007
Last Update Date : 02/08/2021

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Directions to “ DR. PERICLES XYNOS M.D.” Practice Location

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